Active NPI
Paul Michael Carter
- Mental Health Counselor
- Santa Monica, CA
National Provider Identifier
1124697974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10557
- Practice address
- 2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232 - Phone
- (310) 612-2998
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Marriage & Family Therapist | 106H00000X | AMFT128815 | CA | |
| Mental Health Counselor | 101YM0800X | 10557 | CA | Primary |
Addresses
Primary practice location
2716 Ocean Park Blvd Ste 3075
Santa Monica, CA 90405-5232
Mailing address
1355 S Hill St
Los Angeles, CA 90015-3012
Phone (213) 389-5820
Other practice location 1
1355 S Hill St
Los Angeles, CA 90015-3012
Phone (213) 389-5820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT128815 | CA | MD | Marriage & Family Therapist |
| 10557 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1124697974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 S HILL ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153012",
"telephone_number": "213-389-5820",
"fax_number": "213-402-3136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 OCEAN PARK BLVD STE 3075",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055232",
"telephone_number": "310-612-2998"
}
],
"practiceLocations": [
{
"address_1": "1355 S Hill St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900153012",
"country_code": "US",
"telephone_number": "213-389-5820",
"fax_number": "213-402-3136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-24",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT128815",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "10557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.